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Initial hospital care, low complexity

CPT 99221 · negotiated-rate distribution across hospitals in KY

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Hospitals
8
Min
$72.79
Median
$72.79
Max
$76.47
Range multiplier
1.1×

By payer (20 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna817$51.66$72.79$116.812.3×
WellCare817$51.66$72.79$126.182.4×
UnitedHealthcare710$51.66$72.79$116.812.3×
optum ccn region 277$72.79$72.79$72.791.0×
optum ccn region 177$72.79$72.79$72.791.0×
caresoure kentucky66$72.79$120.10$120.101.6×
Humana15$70.35$76.47$147.642.1×
Anthem BCBS14$51.66$64.07$76.471.5×
Cigna13$76.47$76.47$116.811.5×
amerigroup12$76.47$76.47$76.471.0×
CareSource12$76.47$89.85$103.231.3×
the health plan12$62.54$67.66$72.791.2×
va community care network12$76.47$76.47$76.471.0×
alliance coal12$91.76$103.23$114.701.3×
christian county health dept-cchd11$51.66$51.66$51.661.0×
center care11$116.81$116.81$116.811.0×
beacon health11$51.66$51.66$51.661.0×
First Health11$131.75$131.75$131.751.0×
commonwealth health alliance11$139.50$139.50$139.501.0×
Multiplan11$131.75$131.75$131.751.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Jennie Stuart Medical CenterHopkinsvilleKY16$155.00$48.05$51.66$76.47$147.64
Highlands Regional Medical CenterPrestonsburgKY6$162.00$97.20$51.66$72.79$120.10
Middlesboro ArhMiddlesboroKY6$162.00$97.20$72.79$72.79$120.10
Hazard ArhHazardKY6$162.00$97.20$51.66$72.79$120.10
Tug Valley ArhSouth WilliamsonKY7$162.00$97.20$51.66$72.79$120.10
Paintsville Arh HospitalPaintsvilleKY5$162.00$97.20$51.66$72.79$100.20
Whitesburg ArhWhitesburgKY6$162.00$97.20$51.66$72.79$100.20
Mcdowell ArhMcdowellKY5$162.00$97.20$51.66$72.79$120.10

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.